The manifestations and diagnosis of chronic lymphocytic thyroiditis?

The human body is like a magic machine, when a certain part of the machine when problems occur, the body will appear to remind us of some small state's attention. However, the daily busy life whether you turn a blind eye to these health warning out? Xiao Bian specifically for the busy home life for you have identified a full range of knowledge, hoping to make your every day off healthy and happy.

First, medical history and symptoms:

Particularly prevalent in the 30 ~ 50-year-old female, onset hidden, the slow development of a longer course of the disease, mainly as a goiter, mostly diffuse, a small number for the limitations, some with facial, limb swelling sense of onset. The disease can be divided into eight kinds of types:

(A) Hashimoto hyperthyroidism: The patient had typical symptoms of hyperthyroidism and positive laboratory results, hyperthyroidism and Hashimoto's disease can co-exist or have occurred, mutual co-existence into each other.

(B) pseudo hyperthyroidism: a few may have symptoms of hyperthyroidism, thyroid function tests but no evidence of hyperthyroidism, TGAb, TMAb positive.

(C) popeye type: proptosis, thyroid function may be normal, hyperactive, or diminished.

(D) class type of subacute thyroiditis: a more acute onset, goiter pain, accompanied by fever, erythrocyte sedimentation rate accelerated, but the rate of intake of iodine 131 normal or increased thyroid antibody titer positive.

(E) juvenile: young people accounted for about 40% of goiter, thyroid function was normal, the lower antibody titers.

(F) fibrosis type: course is longer, there may be widespread or part of the thyroid gland fibrosis, thyroid atrophy, thyroid dysfunction.

(Vii) with thyroid adenoma or carcinoma: often a solitary nodule, TGAb, TMAb titer higher

(Viii) associated with other autoimmune diseases.

Second, physical examination found that:

Thyroid showed diffuse or localized swelling, texture hard, and there are bombs sexy, clear boundaries, no tenderness, smooth surface, some may be presented nodular thyroid, neck lymph nodes are not swollen, some may have limbs mucinous edema.

3, auxiliary examination:

(1) Early thyroid function to normal, Hashimoto's hyperthyroidism were slightly elevated thyroid function, as their illness progresses, T3, T4 can be reduced, TSH increased, TMAb, TGAb positive. (2) there are irregular thyroid radionuclide concentration or sparse areas, a small number of the performance of a "cold nodule." (3) over potassium chlorate to release test was positive. (4) elevated serum gamma globulin, albumin decreased. (5) thyroid puncture showed a large number of lymphocytes.